| Abdominal Hysterectomy | $903$708$1.3k | $5,159 | $5,797 |
| ACL Reconstruction (Arthroscopic) | $15,405$835$17k | $6,818 | $7,661 |
| Allergy Skin Testing | $28$3$29 | $26 | $29 |
| Basic Metabolic Panel | $94$8$99 | $88 | $99 |
| Bone Marrow Biopsy | $1,982$56$2.2k | $2,216 | $2,490 |
| Breast Biopsy (Ultrasound-guided) | $1,982$123$2.2k | $3,771 | $4,237 |
| Bunion Correction Surgery | $3,926$470$4.3k | $4,523 | $5,082 |
| Cardiac Ablation for Atrial Fibrillation | $43,392$718$46k | $40,652 | $45,676 |
| Cardiac Catheterization (Left Heart) | $10,860$1.0k$11k | $10,174 | $11,432 |
| Cardiac Stress Test (Treadmill) | $489$60$515 | $458 | $515 |
| Carpal Tunnel Release Surgery | $2,343$407$2.6k | $5,942 | $6,676 |
| Cataract Surgery with Lens Implant | $2,769$456$3.1k | $3,812 | $4,283 |
| Cervical Spinal Fusion (Anterior) | $15,553$1.4k$17k | $16,502 | $18,542 |
| Cesarean Delivery (Global Package) | $2,296$1.4k$3.3k | $8,454 | $9,499 |
| Chemotherapy Infusion (First Hour) | $858$135$903 | $804 | $903 |
| Chest X-ray (2 Views) | $141$8$212 | $132 | $148 |
| Colonoscopy with Biopsy | $1,450$169$1.6k | $4,166 | $4,681 |
| Complete Abdominal Ultrasound | $207$30$664 | $390 | $439 |
| Complete Blood Count (CBC) with Differential | $72$7$76 | $68 | $76 |
| Comprehensive Metabolic Panel | $108$10$114 | $101 | $114 |
| Coronary Angioplasty with Stent | $19,096$412$20k | $17,890 | $20,101 |
| Critical Care, First Hour | $13,498$189$15k | $12,645 | $14,208 |
| CT Abdomen and Pelvis with Contrast | $1,731$67$2.5k | $1,622 | $1,822 |
| CT Cardiac Calcium Scoring | $111$21$437 | $245 | $276 |
| CT Chest without Contrast | $850$39$1.4k | $797 | $895 |
| CT Head without Contrast | $649$31$1.1k | $608 | $683 |
| DEXA Bone Density Scan | $119$7$533 | $292 | $328 |
| Diagnostic Colonoscopy | $1,127$156$1.2k | $3,918 | $4,402 |
| Diagnostic Mammogram (Both Breasts) | $582$37$860 | $546 | $613 |
| Ear Tube Placement (Tympanostomy) | $3,978$140$4.4k | $1,273 | $1,430 |
| Echocardiogram (Complete with Doppler) | $1,976$55$6.7k | $3,242 | $3,643 |
| EKG (Electrocardiogram, 12-lead) | $245$12$258 | $230 | $258 |
| Emergency Room Visit (Level 3) | $962$65$1.0k | $902 | $1,013 |
| Group Therapy Session | $525$24$806 | $519 | $584 |
| Hemodialysis Treatment | $541$60$569 | $506 | $569 |
| Hemoglobin A1c (Diabetes Test) | $76$8$80 | $71 | $80 |
| HIV Antibody Test | $97$9$102 | $91 | $102 |
| Holter Monitor (24-48 Hour Heart Monitor) | $1,248$58$1.3k | $1,169 | $1,314 |
| Home Sleep Study | $827$85$870 | $774 | $870 |
| Individual Therapy Session (45 Minutes) | $353$77$372 | $331 | $372 |
| Inguinal Hernia Repair (Open) | $4,296$465$4.8k | $2,907 | $3,266 |
| Initial Hospital Admission (Level 1) | $417$57$439 | $391 | $439 |
| Initial Psychiatric Diagnostic Evaluation | $479$105$504 | $449 | $504 |
| Initial Psychiatric Evaluation with Medication Management | $774$163$815 | $725 | $815 |
| IUD Insertion | $3,922$125$4.3k | $1,364 | $1,533 |
| IUD Removal | $3,884$53$4.3k | $1,364 | $1,533 |
| Knee Arthroscopy with Meniscectomy | $3,926$490$4.3k | $3,704 | $4,162 |
| Laparoscopic Appendectomy | $7,324$528$8.0k | $3,182 | $3,575 |
| Laparoscopic Gallbladder Removal | $7,324$575$8.0k | $4,427 | $4,974 |
| Laparoscopic Tubal Ligation | $7,324$540$9.1k | $4,171 | $4,686 |
| Lipid Panel (Cholesterol Test) | $127$13$134 | $119 | $134 |
| Lumbar Epidural Steroid Injection | $855$8$937 | $2,196 | $2,467 |
| Lumbar Puncture (Spinal Tap) | $847$52$937 | $1,370 | $1,539 |
| Lumbar Spinal Fusion (Posterior) | $21,241$1.3k$23k | $16,924 | $19,016 |
| Lumpectomy (Partial Mastectomy) | $4,698$579$5.2k | $3,649 | $4,100 |
| MRI Abdomen with and without Contrast | $3,071$81$4.6k | $2,877 | $3,233 |
| MRI Brain with and without Contrast | $3,714$84$5.8k | $3,479 | $3,909 |
| MRI Brain with Contrast | $2,342$66$3.5k | $2,194 | $2,465 |
| MRI Brain without Contrast | $1,390$54$3.0k | $1,302 | $1,463 |
| MRI Cervical Spine (Neck) without Contrast | $1,591$54$2.6k | $1,491 | $1,675 |
| MRI Knee without Contrast | $1,367$50$2.1k | $1,281 | $1,439 |
| MRI Lower Back (Lumbar Spine) without Contrast | $1,474$55$2.4k | $1,381 | $1,552 |
| MRI Thoracic Spine (Mid-back) without Contrast | $2,100$54$3.4k | $1,968 | $2,211 |
| Newborn Circumcision | $7,254$79$8.0k | $417 | $468 |
| Nuclear Cardiac Stress Test | $473$60$2.8k | $1,480 | $1,663 |
| Office Visit, Established Patient (Level 3) | $149$32$532 | $305 | $343 |
| Office Visit, New Patient (Level 3) | $188$41$198 | $176 | $198 |
| Pacemaker Insertion (Dual Chamber) | $12,541$413$14k | $22,065 | $24,792 |
| PET/CT Scan, Whole Body | $7,236$88$8.2k | $6,779 | $7,617 |
| Pregnancy Ultrasound (Second or Third Trimester) | $239$38$716 | $428 | $481 |
| Prostate Biopsy | $434$90$476 | — | — |
| PSA Prostate Cancer Screening | $158$18$166 | $148 | $166 |
| Pulmonary Function Test with Bronchodilator | $1,469$44$1.5k | $1,376 | $1,546 |
| Rotator Cuff Repair (Arthroscopic) | $8,707$915$9.6k | $5,749 | $6,459 |
| Screening Mammogram | $365$28$528 | $342 | $384 |
| Septoplasty (Deviated Septum Repair) | $4,016$600$4.4k | $3,952 | $4,441 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $8,550$256$11k | $3,273 | $3,678 |
| Skin Biopsy (Tangential) | $492$29$539 | $396 | $445 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,982$75$2.2k | $1,574 | $1,769 |
| Sleep Study (In-lab Polysomnography) | $988$96$1.0k | $926 | $1,040 |
| Spinal Cord Stimulator Trial | $7,720$360$8.5k | $6,663 | $7,486 |
| Spirometry (Breathing Test) | $649$30$683 | $608 | $683 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,978$261$4.4k | $1,538 | $1,728 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $7,103$250$7.9k | $1,574 | $1,769 |
| Total Hip Replacement | $15,553$1.1k$17k | $13,511 | $15,181 |
| Total Knee Replacement | $15,553$1.1k$17k | $12,300 | $13,820 |
| Total Mastectomy | $16,695$836$21k | $6,881 | $7,731 |
| TSH Thyroid Function Test | $126$16$133 | $118 | $133 |
| TURP (Transurethral Prostate Resection) | $6,495$501$7.1k | $4,367 | $4,907 |
| Upper GI Endoscopy (EGD) | $1,099$106$1.2k | $4,068 | $4,571 |
| Urinalysis with Microscopy | $36$3$38 | $34 | $38 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $7,749$713$8.2k | $7,260 | $8,157 |
| Vaginal Delivery (Global Package) | $7,455$688$7.8k | $6,984 | $7,847 |
| Vaginal Hysterectomy | $8,898$691$9.8k | $5,012 | $5,632 |
| Vasectomy | $4,296$211$4.8k | $1,729 | $1,943 |
| Vitamin D Blood Test | $242$29$255 | $227 | $255 |